Provider Demographics
NPI:1427222447
Name:SOUTER, VOYNE (FNP-C)
Entity Type:Individual
Prefix:MR
First Name:VOYNE
Middle Name:
Last Name:SOUTER
Suffix:
Gender:M
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1500
Mailing Address - Street 2:
Mailing Address - City:HARDWICK
Mailing Address - State:GA
Mailing Address - Zip Code:31034
Mailing Address - Country:US
Mailing Address - Phone:478-552-9903
Mailing Address - Fax:
Practice Address - Street 1:RIVERS STATE PRISON
Practice Address - Street 2:
Practice Address - City:HARDWICK
Practice Address - State:GA
Practice Address - Zip Code:31034
Practice Address - Country:US
Practice Address - Phone:478-445-4591
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-04-22
Last Update Date:2008-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN134611363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily